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Arthritis facts>

Arthritis is inflammation of one or more joints. Symptoms of arthritis include pain and limited function of joints. Arthritis sufferers include men and women, children and adults. A rheumatologist is a medical arthritis expert. Earlier and accurate diagnosis can help to prevent irreversible damage and disability.

What is arthritis? What causes arthritis?

Arthritis is a joint disorder featuring inflammation. A joint is an area of the body where two different bones meet. A joint functions to move the body parts connected by its bones. Arthritis literally means inflammation of one or more joints. There are many types of arthritis (over 100 identified, and the number is growing). The types range from those related to wear and tear of cartilage (such as osteoarthritis) to those associated with inflammation resulting from an overactive immune system (such as rheumatoid arthritis). Together, the many types of arthritis make up the most common chronic illness. The causes of arthritis depend on the form of arthritis. Causes include injury (leading to osteoarthritis), metabolic abnormalities (such as gout and pseudogout), hereditary factors, the direct and indirect effect of infections (bacterial and viral), and a misdirected immune system with autoimmunity (such as in rheumatoid arthritis and systemic lupus erythematosus). Arthritis is classified as one of the rheumatic diseases. These are conditions that are different individual illnesses, with differing features, treatments, complications, and prognoses. They are similar in that they have a tendency to affect the joints, muscles, ligaments, cartilage, and tendons, and many have the potential to affect other internal body areas

What Is the Difference Between Normal, Healthy Joints and Arthritic Joints?

A joint is where two bones meet to allow movement of body parts. Arthritis means joint inflammation. The joint inflammation of rheumatoid arthritis causes swelling, pain, stiffness, and redness in the joints. The inflammation of rheumatoid disease can also occur in tissues around the joints, such as the tendons, ligaments, and muscles. In some patients with rheumatoid arthritis, chronic inflammation leads to the destruction of the cartilage, bone, and ligaments, causing deformity of the joints. Damage to the joints can occur early in the disease and progress as the individual ages.

What are risk factors for arthritis?

The major risk factors for most forms of arthritis are genes that are inherited from ancestors. Trauma-related arthritis is related to the risk of injury from specific activities.

What are arthritis symptoms and signs?

Symptoms of arthritis include pain and limited function of joints. Inflammation of the joints from arthritis is characterized by joint stiffness, swelling, redness, and warmth. Tenderness of the inflamed joint can be present. Many of the forms of arthritis, because they are rheumatic diseases, can cause symptoms affecting various organs of the body that do not directly involve the joints. Therefore, symptoms in some patients with certain forms of arthritis can also include fever, gland swelling (swollen lymph nodes), weight loss, fatigue, feeling unwell, and even symptoms from abnormalities of organs such as the lungs, heart, or kidneys.

Who is affected by arthritis?

Arthritis sufferers include men and women, children and adults. Approximately 350 million people worldwide have arthritis.

What Is Rheumatoid Arthritis?

Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Autoimmune diseases are illnesses that occur when the body is mistakenly attacked by its own immune system. Rheumatoid arthritis can also cause inflammation of the tissue around the joints, as well as in other organs in the body. Because it can affect multiple organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease. While rheumatoid arthritis is a chronic illness, meaning it can last for years, patients may experience long periods without symptoms. Typically, however, rheumatoid arthritis is a progressive illness that has the potential to cause joint destruction and functional disability. The disease is three times more common in women as in men. It afflicts people of all races equally. The disease can begin at any age, but it most often starts after age 40 and before 60. In some families, multiple members can be affected, suggesting a genetic basis for the disorder.

What Is Juvenile Rheumatoid Arthritis?

Juvenile rheumatoid arthritis (JRA) is arthritis that causes joint inflammation and stiffness for more than six weeks in a child 16 years of age or younger. Inflammation causes redness, swelling, warmth, and soreness in the joints, although many children with JRA do not complain of joint pain. Any joint can be affected, and inflammation may limit the mobility of affected joints.

What causes rheumatoid arthritis?

The cause of rheumatoid arthritis is unknown. Even though infectious agents such as viruses, bacteria, and fungi have long been suspected, none has been proven as the cause. The cause of rheumatoid arthritis is a very active area of worldwide research. Some scientists believe that the tendency to develop rheumatoid arthritis may be genetically inherited. It is suspected that certain infections or factors in the environment might trigger the immune system to attack the body's own tissues in susceptible individuals, resulting in inflammation in various organs of the body including the joints. Environmental factors also seem to play some role in causing rheumatoid arthritis. Recently, scientists have reported that smoking tobacco increases the risk of developing rheumatoid arthritis.

Remission, Relapse, and Flares

The symptoms of rheumatoid arthritis come and go, depending on the degree of tissue inflammation. When body tissues are inflamed, the disease is active. When tissue inflammation subsides, the disease is inactive (in remission). Remissions can occur spontaneously or with treatment and can last weeks, months, or years. During remissions, symptoms of the disease disappear and patients generally feel well. When the disease becomes active again (relapse), symptoms return. The return of disease activity and symptoms is called a flare. The course of rheumatoid arthritis varies from patient to patient, and periods of flares and remissions are typical.

What Are the Symptoms of Rheumatoid Arthritis?

When the disease is active, symptoms can include fatigue, lack of appetite, low-grade fever, muscle and joint aches, and stiffness. Muscle and joint stiffness are usually most notable in the morning and after periods of inactivity. Arthritis is common during disease flares. Also during flares, joints frequently become red, swollen, painful, and tender. This occurs because the lining tissue of the joint (synovium) becomes inflamed, resulting in the production of excessive joint fluid (synovial fluid). The synovium also thickens with inflammation (synovitis). In rheumatoid arthritis, multiple joints are usually inflamed in a symmetrical pattern (both sides of the body affected). The small joints of both the hands and wrists are often involved. Simple tasks of daily living, such as turning door knobs and opening jars can become difficult during flares. The small joints of the feet are also commonly involved. Chronic inflammation can cause damage to body tissues, cartilage, and bone. This leads to a loss of cartilage and erosion and weakness of the bones as well as the muscles, resulting in joint deformity, destruction, and loss of function

Rheumatoid Arthritis and Inflammation of Organs Since rheumatoid arthritis is a systemic disease, its inflammation can affect organs and areas of the body other than the joints. Examples of other areas that may be affected include the following: Sjooren's syndrome is the result of inflammation of the glands of the eyes and mouth and causes dryness of these areas. Rheumatoid inflammation of the lung lining (pleuritis) causes chest pain with deep breathing or coughing. Tissue inflammation surrounding the heart, called pericarditis, can cause chest pain that typically changes in intensity when lying down or leaning forward. Rheumatoid disease can reduce the number of red blood cells (anemia) and white blood cells. Decreased white cells can be associated with an enlarged spleen (Felty's syndrome) and can increase the risk of infections. Firm lumps under the skin (rheumatoid nodules) can occur around the elbows and fingers where there is frequent pressure. A rare and serious complication is blood-vessel inflammation (vasculitis). Vasculitis can impair blood supply to tissues and lead to tissue death. This is most often initially visible as tiny black areas around the nail beds or as leg ulcers.

Juvenile Arthritis At A Glance

Arthritis affects approximately one child in every 1,000 in a given year. Juvenile rheumatoid arthritis (JRA) is the most common type of arthritis affecting children. There are three main forms of juvenile rheumatoid arthritis: pauciarticular, polyarticular, and systemic-onset (also called Still's disease). With proper treatment, the children with arthritis will usually get better over time.

AYURVEDIC TREATMENT PROVIDED BY US FOR ARTHRITIS-

Ayurvedic medicines are popular in India and commonly used for treatment of various ailments, however arthritis is the most common ailment for which people take Ayurvedic treatment. The currently used allopathic medicines cannot cure arthritis and these medicines are often associated with several side effects. Ayurvedic remedies can alleviate pain in people with arthritis. According to Ayurveda bodily pain is caused of vata dosha and is basically an air disease. When ama, a toxin produced by a poor digestive system, accumulates with in your body it aggravates vata. The ama then circulates in the body and most often gets deposited in the joint areas. The deposited ama causes arthritis in the affected joints. Hence to treat arthritis the digestive fire (agni) has to stimulated and ama has to be suppressed.. An ayurvedic practitioner prescribes a combination of good diet and healthy eating, herbal remedies, exercise and a spiritual outlook to the patient.

Herbal Ayurvedic remedies: SARV VAAT HAR RASAYANA provided by us contains Boswellia (Indian Frankinesense) and Commiphoae Mukul (guggula) in the form of capsules taken three times a day can decrease pain. In addition the herbs may help to decrease inflammation and to strengthen bones and improve flexibility. Triphala herb can help to clean the colon.

Diet modification: Anti-vata diet should be taken. Avoid hot and spicy food, and other foodstuffs like dairy foods, potato, eggplant cabbage, cauliflower, broccoli, okra, potatoes etc. Consume plenty of fruits, fruit Juices, homemade soups, green salads and green vegetables.

Massage: Hot baths, compresses or massage with DIVYA AY KALYAN OIL is beneficial in arthritic pain as it reduces vata. Massage vigrously for about 15 minutes on the most severely affected areas for full benefits.

DR.Manoj Goyal
Cinque Terre

Dr. Manoj Goyal

Ayurvedic Specialist

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